KEVIN DAVID SHOULTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

KEVIN DAVID

Last Name

SHOULTS

Suffix

Business Name

KEVIN DAVID SHOULTS MD

Original Issue Date

06/11/1996

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021